| NPI | 1366821464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021934) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN261458) |
| 163W00000X Registered Nurse (Licence: CA 95039929) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN261458) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-04-07 |